Envisioning the future as expressed within family health conversations by families of persons suffering from stroke

• Published in: Scandinavian journal of caring sciences 2018-06, Vol.32 (2), p.707-714
• Main Authors: Sundin, Karin, Pusa, Susanna, Jonsson, Carin, Saveman, Britt‐Inger, Östlund, Ulrika
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Caregivers - psychology; Cerebrovascular disorder; Closing letters; Communication; Content analysis; Families & family life; Family - psychology; Family health conversations; Family nursing; Female; Future; Humans; Male; Middle Aged; Nurses; Possible selves; Rehabilitation; Relatives; Social support; Stroke; Stroke - psychology; Suffering; Sweden
• ISSN: 0283-9318; 1471-6712; 1471-6712
• DOI: 10.1111/scs.12501

Background The whole family is affected when a person suffers from stroke, but few studies have focused on families’ expectations following the stroke. Objective The aim of this study was to illuminate what persons with stroke and their family members talk about in Family Health Conversations (FamHCs) with focus on the future and how nurses leading these conversations apprehended the families’ future shown in closing letters based on these conversations. Method In this study, seven families with a member ≤65 years who had suffered a stroke participated in FamHC in their homes after the person with stroke had been discharged from the rehabilitation clinic. The FamHC comprised a series of three conversations conducted every other week and a closing letter sent by the nurses to the family to conclude the series. In this study, the third conversations were recorded and they and the closing letters were transcribed and analysed using qualitative content analysis. Result The family members including the persons with stroke were found to be able to tell their stories and express their feelings, worries, losses, hopes and wishes for the future within the context of the Family Health Conversations. Support within the family was highlighted as essential to the satisfactory management of future situations. Conclusion The persons with stroke and their belonging family members’ vision of the future was reflected over in the light of theories about beliefs, possible selves, hope and suffering, and the findings highlight the need for broader use of family conversations to support persons with stroke and their families to manage the future.